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Wimbarti S, Kairupan BHR, Tallei TE. Critical review of self-diagnosis of mental health conditions using artificial intelligence. Int J Ment Health Nurs 2024; 33:344-358. [PMID: 38345132 DOI: 10.1111/inm.13303] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/20/2023] [Revised: 01/26/2024] [Accepted: 01/30/2024] [Indexed: 03/10/2024]
Abstract
The advent of artificial intelligence (AI) has revolutionised various aspects of our lives, including mental health nursing. AI-driven tools and applications have provided a convenient and accessible means for individuals to assess their mental well-being within the confines of their homes. Nonetheless, the widespread trend of self-diagnosing mental health conditions through AI poses considerable risks. This review article examines the perils associated with relying on AI for self-diagnosis in mental health, highlighting the constraints and possible adverse outcomes that can arise from such practices. It delves into the ethical, psychological, and social implications, underscoring the vital role of mental health professionals, including psychologists, psychiatrists, and nursing specialists, in providing professional assistance and guidance. This article aims to highlight the importance of seeking professional assistance and guidance in addressing mental health concerns, especially in the era of AI-driven self-diagnosis.
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Affiliation(s)
- Supra Wimbarti
- Faculty of Psychology, Universitas Gadjah Mada, Yogyakarta, Indonesia
| | - B H Ralph Kairupan
- Department of Psychiatry, Faculty of Medicine, Sam Ratulangi University, Manado, North Sulawesi, Indonesia
| | - Trina Ekawati Tallei
- Department of Biology, Faculty of Mathematics and Natural Sciences, Sam Ratulangi University, Manado, North Sulawesi, Indonesia
- Department of Biology, Faculty of Medicine, Sam Ratulangi University, Manado, North Sulawesi, Indonesia
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Su F, Wang H, Zu L, Chen Y. Closed-loop modulation of model parkinsonian beta oscillations based on CAR-fuzzy control algorithm. Cogn Neurodyn 2023; 17:1185-1199. [PMID: 37786652 PMCID: PMC10542090 DOI: 10.1007/s11571-022-09820-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2021] [Revised: 04/20/2022] [Accepted: 04/28/2022] [Indexed: 12/01/2022] Open
Abstract
Closed-loop deep brain stimulation (DBS) can apply on-demand stimulation based on the feedback signal (e.g. beta band oscillation), which is deemed to lower side effects of clinically used open-loop DBS. To facilitate the application of model-based closed-loop DBS in clinical, studies must consider state variations, e.g., variation of desired signal with different movement conditions and variation of model parameters with time. This paper proposes to use the controlled autoregressive (CAR)-fuzzy control algorithm to modulate the pathological beta band (13-35 Hz) oscillation of a basal ganglia-cortex-thalamus model. The CAR model is used to identify the relationship between DBS frequency parameter and beta oscillation power. Then the error between the one-step-ahead predicted beta power of CAR model and the desired value is innovatively used as the input of fuzzy controller to calculate the next step stimulation frequency. Compared with 130 Hz open-loop DBS, the proposed closed-loop DBS method could lower the mean stimulation frequency to 74.04 Hz with similar beta oscillation suppression performance. The Mamdani fuzzy controller is selected because which could establish fuzzy controller rules according to human operation experience. Adding prediction module to closed-loop control improves the accuracy of fuzzy control, compared with proportional-integral control and fuzzy control, the proposed CAR-fuzzy control algorithm has higher tracking reliability, response speed and robustness.
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Affiliation(s)
- Fei Su
- School of Mechanical and Electronic Engineering, Shandong Agricultural University, Taian, 271018 China
| | - Hong Wang
- School of Mechanical and Electronic Engineering, Shandong Agricultural University, Taian, 271018 China
| | - Linlu Zu
- School of Mechanical and Electronic Engineering, Shandong Agricultural University, Taian, 271018 China
| | - Yan Chen
- Department of Neurology, Shanghai Jiahui International Hospital, Shanghai, 200233 China
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Chen S, Tang J, Zhu L, Kong W. A multi-stage dynamical fusion network for multimodal emotion recognition. Cogn Neurodyn 2023; 17:671-680. [PMID: 37265659 PMCID: PMC10229484 DOI: 10.1007/s11571-022-09851-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2021] [Revised: 06/21/2022] [Accepted: 07/06/2022] [Indexed: 11/24/2022] Open
Abstract
In recent years, emotion recognition using physiological signals has become a popular research topic. Physiological signal can reflect the real emotional state for individual which is widely applied to emotion recognition. Multimodal signals provide more discriminative information compared with single modal which arose the interest of related researchers. However, current studies on multimodal emotion recognition normally adopt one-stage fusion method which results in the overlook of cross-modal interaction. To solve this problem, we proposed a multi-stage multimodal dynamical fusion network (MSMDFN). Through the MSMDFN, the joint representation based on cross-modal correlation is obtained. Initially, the latent and essential interactions among various features extracted independently from multiple modalities are explored based on specific manner. Subsequently, the multi-stage fusion network is designed to split the fusion procedure into multi-stages using the correlation observed before. This allows us to exploit much more fine-grained unimodal, bimodal and trimodal intercorrelations. For evaluation, the MSMDFN was verified on multimodal benchmark DEAP. The experiments indicate that our method outperforms the related one-stage multi-modal emotion recognition works.
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Affiliation(s)
- Sihan Chen
- HDU-ITMO Joint Institute, Hangzhou Dianzi University, Hangzhou, China
| | - Jiajia Tang
- The College of Computer Science, Hangzhou Dianzi University, Hangzhou, China
| | - Li Zhu
- The College of Computer Science, Hangzhou Dianzi University, Hangzhou, China
| | - Wanzeng Kong
- The College of Computer Science, Hangzhou Dianzi University, Hangzhou, China
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Balasubramani PP, Walke A, Grennan G, Perley A, Purpura S, Ramanathan D, Coleman TP, Mishra J. Simultaneous Gut-Brain Electrophysiology Shows Cognition and Satiety Specific Coupling. SENSORS (BASEL, SWITZERLAND) 2022; 22:9242. [PMID: 36501942 PMCID: PMC9737783 DOI: 10.3390/s22239242] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 09/18/2022] [Revised: 11/11/2022] [Accepted: 11/23/2022] [Indexed: 06/17/2023]
Abstract
Recent studies, using high resolution magnetoencephalography (MEG) and electrogastrography (EGG), have shown that during resting state, rhythmic gastric physiological signals are linked with cortical brain oscillations. Yet, gut-brain coupling has not been investigated with electroencephalography (EEG) during cognitive brain engagement or during hunger-related gut engagement. In this study in 14 young adults (7 females, mean ± SD age 25.71 ± 8.32 years), we study gut-brain coupling using simultaneous EEG and EGG during hunger and satiety states measured in separate visits, and compare responses both while resting as well as during a cognitively demanding working memory task. We find that EGG-EEG phase-amplitude coupling (PAC) differs based on both satiety state and cognitive effort, with greater PAC modulation observed in the resting state relative to working memory. We find a significant interaction between gut satiation levels and cognitive states in the left fronto-central brain region, with larger cognitive demand based differences in the hunger state. Furthermore, strength of PAC correlated with behavioral performance during the working memory task. Altogether, these results highlight the role of gut-brain interactions in cognition and demonstrate the feasibility of these recordings using scalable sensors.
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Affiliation(s)
| | - Anuja Walke
- Department of Bioengineering, University of California, San Diego, CA 92093, USA
| | - Gillian Grennan
- Neural Engineering and Translation Labs (NEATLabs), Department of Psychiatry, University of California, San Diego, CA 92093, USA
| | - Andrew Perley
- Department of Bioengineering, University of California, San Diego, CA 92093, USA
| | - Suzanna Purpura
- Neural Engineering and Translation Labs (NEATLabs), Department of Psychiatry, University of California, San Diego, CA 92093, USA
| | - Dhakshin Ramanathan
- Neural Engineering and Translation Labs (NEATLabs), Department of Psychiatry, University of California, San Diego, CA 92093, USA
- Department of Mental Health, VA San Diego Medical Center, San Diego, CA 92108, USA
- Center of Excellence for Stress and Mental Health, VA San Diego Medical Center, San Diego, CA 92108, USA
| | - Todd P. Coleman
- Department of Bioengineering, University of California, San Diego, CA 92093, USA
| | - Jyoti Mishra
- Neural Engineering and Translation Labs (NEATLabs), Department of Psychiatry, University of California, San Diego, CA 92093, USA
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Interaction of Indirect and Hyperdirect Pathways on Synchrony and Tremor-Related Oscillation in the Basal Ganglia. Neural Plast 2021; 2021:6640105. [PMID: 33790961 PMCID: PMC7984917 DOI: 10.1155/2021/6640105] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2020] [Revised: 02/02/2021] [Accepted: 03/01/2021] [Indexed: 12/28/2022] Open
Abstract
Low-frequency oscillatory activity (3-9 Hz) and increased synchrony in the basal ganglia (BG) are recognized to be crucial for Parkinsonian tremor. However, the dynamical mechanism underlying the tremor-related oscillations still remains unknown. In this paper, the roles of the indirect and hyperdirect pathways on synchronization and tremor-related oscillations are considered based on a modified Hodgkin-Huxley model. Firstly, the effects of indirect and hyperdirect pathways are analysed individually, which show that increased striatal activity to the globus pallidus external (GPe) or strong cortical gamma input to the subthalamic nucleus (STN) is sufficient to promote synchrony and tremor-related oscillations in the BG network. Then, the mutual effects of both pathways are analysed by adjusting the related currents simultaneously. Our results suggest that synchrony and tremor-related oscillations would be strengthened if the current of these two paths are in relative imbalance. And the network tends to be less synchronized and less tremulous when the frequency of cortical input is in the theta band. These findings may provide novel treatments in the cortex and striatum to alleviate symptoms of tremor in Parkinson's disease.
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Primal-size neural circuits in meta-periodic interaction. Cogn Neurodyn 2020; 15:359-367. [PMID: 33854649 DOI: 10.1007/s11571-020-09613-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2019] [Revised: 06/08/2020] [Accepted: 06/23/2020] [Indexed: 10/23/2022] Open
Abstract
Experimental observations of simultaneous activity in large cortical areas have seemed to justify a large network approach in early studies of neural information codes and memory capacity. This approach has overlooked, however, the segregated nature of cortical structure and functionality. Employing graph-theoretic results, we show that, given the estimated number of neurons in the human brain, there are only a few primal sizes that can be attributed to neural circuits under probabilistically sparse connectivity. The significance of this finding is that neural circuits of relatively small primal sizes in cyclic interaction, implied by inhibitory interneuron potentiation and excitatory inter-circuit potentiation, generate relatively long non-repetitious sequences of asynchronous primal-length periods. The meta-periodic nature of such circuit interaction translates into meta-periodic firing-rate dynamics, representing cortical information. It is finally shown that interacting neural circuits of primal sizes 7 or less exhaust most of the capacity of the human brain, with relatively little room to spare for circuits of larger primal sizes. This also appears to ratify experimental findings on the human working memory capacity.
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A neural network model of basal ganglia's decision-making circuitry. Cogn Neurodyn 2020; 15:17-26. [PMID: 33786076 DOI: 10.1007/s11571-020-09609-2] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/31/2019] [Revised: 06/08/2020] [Accepted: 06/13/2020] [Indexed: 12/13/2022] Open
Abstract
The basal ganglia have been increasingly recognized as an important structure involved in decision making. Neurons in the basal ganglia were found to reflect the evidence accumulation process during decision making. However, it is not well understood how the direct and indirect pathways of the basal ganglia work together for decision making. Here, we create a recurrent neural network model that is composed of the direct and indirect pathways and test it with the classic random dot motion discrimination task. The direct pathway drives the outputs, which are modulated through a gating mechanism controlled by the indirect pathway. We train the network to learn the task and find that the network reproduces the accuracy and reaction time patterns of previous animal studies. Units in the model exhibit ramping activities that reflect evidence accumulation. Finally, we simulate manipulations of the direct and indirect pathways and find that the manipulations of the direct pathway mainly affect the choice while the manipulations of the indirect pathway affect the model's reaction time. These results suggest a potential circuitry mechanism of the basal ganglia's role in decision making with predictions that can be tested experimentally in the future.
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Wang Y, Xu X, Wang R. Energy features in spontaneous up and down oscillations. Cogn Neurodyn 2020; 15:65-75. [PMID: 33786080 DOI: 10.1007/s11571-020-09597-3] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2020] [Revised: 03/25/2020] [Accepted: 05/04/2020] [Indexed: 12/22/2022] Open
Abstract
Spontaneous brain activities consume most of the brain's energy. So if we want to understand how the brain operates, we must take into account these spontaneous activities. Up and down transitions of membrane potentials are considered to be one of significant spontaneous activities. This kind of oscillation always shows bistable and bimodal distribution of membrane potentials. Our previous theoretical studies on up and down oscillations mainly looked at the ion channel dynamics. In this paper, we focus on energy feature of spontaneous up and down transitions based on a network model and its simulation. The simulated results indicate that the energy is a robust index and distinguishable of excitatory and inhibitory neurons. Meanwhile, one the whole, energy consumption of neurons shows bistable feature and bimodal distribution as well as the membrane potential, which turns out that the indicator of energy consumption encodes up and down states in this spontaneous activity. In detail, energy consumption mainly occurs during up states temporally, and mostly concentrates inside neurons rather than synapses spatially. The stimulation related energy is small, indicating that energy consumption is not driven by external stimulus, but internal spontaneous activity. This point of view is also consistent with brain imaging results. Through the observation and analysis of the findings, we prove the validity of the model again, and we can further explore the energy mechanism of more spontaneous activities.
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Affiliation(s)
- Yihong Wang
- Institute for Cognitive Neurodynamics, East China University of Science and Technology, 130 Meilong Road, Shanghai, China
| | - Xuying Xu
- Institute for Cognitive Neurodynamics, East China University of Science and Technology, 130 Meilong Road, Shanghai, China
| | - Rubin Wang
- Institute for Cognitive Neurodynamics, East China University of Science and Technology, 130 Meilong Road, Shanghai, China.,School of Computer Science, Hangzhou Dianzi University, Hangzhou, China
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